| NPI | 1316078850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005400) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00367200) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2016-12-09 |