| NPI | 1790118396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701005837) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005837) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2024-09-18 |