| NPI | 1912367806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006603) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-05-23 |