| NPI | 1619363371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701009279) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 1943) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-11-27 |