| NPI | 1154038024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014493) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704012484) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-02-06 |