| NPI | 1669605671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004474) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: VA PPS-0602534) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2021-07-01 |