| NPI | 1770118697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011170) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC13110) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2025-05-01 |