| NPI | 1518272327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC14053) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC4700) |
| 101YP2500X Counselor Professional (Licence: VA 0701005362) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2014-10-23 |