| NPI | 1023158714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004017) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1509) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2014-01-14 |