| NPI | 1528012390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003381) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC 1358) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |