| NPI | 1053805929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701011748) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-11-01 |