| NPI | 1184698011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002756) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0717000909) |
| 101YS0200X Counselor School (Licence: VA 01172440) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |