| NPI | 1033475488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14178) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004039) |
| 101YP2500X Counselor, Professional (Licence: MD LC4861) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2013-04-18 |