| NPI | 1063805950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006081) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2027) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |