| NPI | 1235142944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002765) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0718000024) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-09 |