| NPI | 1205347903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704015000) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2023-05-16 |