| NPI | 1851442420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008656) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4616) |
| 101YP2500X Counselor, Professional (Licence: TX 64776) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-10-01 |