| NPI | 1659824142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2669) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701002094) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2024-01-18 |