| NPI | 1437564192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003752) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC6046) |
| 101YP2500X Counselor, Professional (Licence: VA 0701008040) | |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2022-07-21 |