| NPI | 1689891434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005217) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC017743) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2026-04-29 |