| NPI | 1578089835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007549) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00118954) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-03-02 |