| NPI | 1891925749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3205) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005955) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2024-05-03 |