| NPI | 1619629573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701011704) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704013403) |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2023-03-25 |