| NPI | 1831995190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701014750) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0701014750) |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2026-04-16 |