| NPI | 1518288117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003954) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: VA PGP-0626026) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |