| NPI | 1417292202 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006448)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14652)  | 
| Enumeration Date | 2012-12-05 | 
| Last Update Date | 2023-07-14 |