| NPI | 1417960279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003667) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0710101505) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-11-21 |