| NPI | 1902345390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006991) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 003438) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2025-03-14 |