| NPI | 1538338256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006176) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005652) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2016-03-10 |