| NPI | 1972858017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006577) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A8462) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2026-02-20 |