| NPI | 1689772022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701002737) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC8) |
| 101Y00000X Counselor (Licence: certification51756) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-01-13 |