| NPI | 1558637215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007062) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 0701007062) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2024-10-18 |