| NPI | 1912041112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701010070) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AR P0411052) |
| 101YP2500X Counselor Professional (Licence: AR A9907022) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2023-10-02 |