| NPI | 1467781419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004427) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701004427) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2021-05-27 |