| NPI | 1235843129 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012735)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| Enumeration Date | 2023-01-06 | 
| Last Update Date | 2023-08-07 |