| NPI | 1306125661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 071004956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH6144) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-02-18 |