| NPI | 1285100867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701013514) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-04-25 |