| NPI | 1881618254 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3423)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003415)  | 
| Enumeration Date | 2006-07-27 | 
| Last Update Date | 2024-05-23 |