| NPI | 1902549306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0704013887) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704013887) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-08-26 |