| NPI | 1730614835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 13821) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006969) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2019-06-26 |