| NPI | 1215557806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701009079) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-03-30 |