| NPI | 1700405180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008875) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3033) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |