| NPI | 1255696621 |
|---|---|
| Former Name | VIRGINIA MARGARET OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000675) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE AC-0000055) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2014-06-26 |