| NPI | 1588348700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012426) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004301) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2024-04-26 |