| NPI | 1942713037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701007332) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: FL MH13178) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2018-03-17 |