NPI | 1124769260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704014516) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2022-04-05 |
Last Update Date | 2024-03-05 |