| NPI | 1508462052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: VA 0715005529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704006832) |
| 101YS0200X Counselor, School (Licence: VA PPS-0602121) | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2020-12-09 |