| NPI | 1134888654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013966) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP11958) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-09-26 |