| NPI | 1699904763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006140) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC S7471) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2023-05-31 |