| NPI | 1154043552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701011790) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701011790) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |