| NPI | 1588303598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007977) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC012956) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |