| NPI | 1962135905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701013748) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-10-23 |