| NPI | 1245461102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701004652) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC3131) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |