| NPI | 1356152078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701014320) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701014320) |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2026-06-16 |