| NPI | 1437951811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0704017185) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A19761) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |