| NPI | 1407915242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC13946) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003485) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2012-04-02 |