| NPI | 1871148080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008431) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0015975) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-02-08 |