| NPI | 1164042933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010399) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701010399) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-11-21 |