| NPI | 1013116375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006347) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0811000981) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2015-10-26 |