| NPI | 1548319403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002887) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 10795) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-01-30 |