| NPI | 1124102488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC1334) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701002605) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |