| NPI | 1134246549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007231) |
| 101YP2500X Counselor, Professional (Licence: CT 001682) | |
| 101YP2500X Counselor, Professional (Licence: NC 8166) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-03-27 |