| NPI | 1801136809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12837) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005385) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2018-09-06 |