| NPI | 1730763814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 19418) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701009914) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-01-22 |