| NPI | 1417251976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005360) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4479) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2012-11-30 |