| NPI | 1225623598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012259) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704013120) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-03-01 |