| NPI | 1568754182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003442) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2024-02-27 |