| NPI | 1689798779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005093) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 093646) |
| 101YP2500X Counselor, Professional (Licence: MD LC2095) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-08-21 |