| NPI | 1477212082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011828) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704011853) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-12-30 |