| NPI | 1972268332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013777) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0704014307) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2024-08-28 |