| NPI | 1639936727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014645) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704015536) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-03-24 |