| NPI | 1568907749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2011037455) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701013187) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2024-01-03 |