| NPI | 1366757460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701000672) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0717000837) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |