| NPI | 1154857720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VT 068.0134940) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VT 097.0129615) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-12-06 |