| NPI | 1174621551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004411) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4417) |
| 101YP2500X Counselor, Professional (Licence: GA LPC006940) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-01-11 |