| NPI | 1659820868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11451) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2023-01-05 |