| NPI | 1992160915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006416) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2019-12-22 |