| NPI | 1740614692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701002884) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2343) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2020-10-23 |