| NPI | 1639799703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011029) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9620) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2024-12-10 |