| NPI | 1538487186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006084) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 17545) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2022-09-20 |