| NPI | 1639447220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007179) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3367) |
| 101YP2500X Counselor, Professional (Licence: MD LC3702) | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2018-03-17 |