| NPI | 1932555711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 2703) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012155) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-04-02 |