| NPI | 1700599669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013513) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704014305) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-05-03 |