NPI | 1184295297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704011442) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC13382) |
Enumeration Date | 2021-07-09 |
Last Update Date | 2023-07-26 |