| NPI | 1447961347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701012214) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0704010979) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2023-02-22 |