| NPI | 1205089901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004691) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2816) |
| 101YP2500X Counselor, Professional (Licence: DC PRC1203) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2010-12-21 |