| NPI | 1730973041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0001323804) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 0001323804) |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |