| NPI | 1912364571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007669) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00884000) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2024-11-04 |