| NPI | 1275861098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701004730) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC14052) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2019-07-16 |