| NPI | 1568158764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704013947) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0019849) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |