| NPI | 1750906129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011331) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704013050) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2022-06-09 |