| NPI | 1649955402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012696) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 070403459) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-07-19 |