| NPI | 1376261941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013587) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704013590) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-05-17 |