| NPI | 1548309628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004285) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 01104101) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-05-23 |