| NPI | 1649816364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008722) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6929) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |