| NPI | 1962706176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005467) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC14138) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2019-01-27 |