| NPI | 1689094187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13666) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005782) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-03-04 |