| NPI | 1912502329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VT 097.0134416) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C10252) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2025-07-23 |