| NPI | 1083383012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011740) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701011740) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2023-10-07 |