| NPI | 1447572078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007063) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2811) |
| 101YP2500X Counselor, Professional (Licence: TX 60989) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2024-08-22 |