| NPI | 1467731133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701002982) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC157) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-09-22 |