| NPI | 1023329141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC13789) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004745) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |