| NPI | 1710551411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010444) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76174) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2022-10-31 |