| NPI | 1972844413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014839) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL TPMC1098) |
| 101YP2500X Counselor, Professional (Licence: PA PC010948) | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2025-06-27 |