| NPI | 1124183223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003618) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC#3865) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-10-22 |