| NPI | 1316141690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6618) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13936) |
| 101YP2500X Counselor, Professional (Licence: VA 0701004585) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2015-02-05 |