| NPI | 1477960862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013477) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 2565) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2026-01-14 |