| NPI | 1821833021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013698) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701013698) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-07-02 |