| NPI | 1942702105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701009925) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 3061-226) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2021-03-05 |