| NPI | 1780116483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004461) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC6448) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2023-12-18 |