| NPI | 1871614115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4184) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-04-22 |