| NPI | 1194437400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701012932) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0704013914) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-10-24 |