| NPI | 1225741168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701013074) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 9852) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2025-07-01 |