| NPI | 1326286980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004578) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC3024) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2015-03-31 |