| NPI | 1194804575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701003283) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701003283LPC) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2013-09-05 |