| NPI | 1487960308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC6154) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701004833) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2022-11-17 |