| NPI | 1487831467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2698) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005586) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2014-05-14 |