| NPI | 1740830280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008599) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011169) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |