| NPI | 1457639221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA # 0701005513) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1100042) |
| 101YP2500X Counselor, Professional (Licence: NC 8419) | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2014-02-04 |