| NPI | 1386727824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004826) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 1667) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-10-12 |