| NPI | 1952753634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006630) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC008403) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2023-09-12 |