| NPI | 1457064347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012562) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704013461) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-06-12 |