| NPI | 1093203978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2891) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0734007190) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-06-05 |