| NPI | 1942899075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010165) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 12955267-6004) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-10-25 |