| NPI | 1073149720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010222) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704007593) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2021-05-26 |