| NPI | 1104492131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701016343) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2022014707) |
| 101YP2500X Counselor, Professional (Licence: DC PRC200012507) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2026-07-02 |