| NPI | 1124785308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014179) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704014214) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2024-11-15 |