| NPI | 1558668152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005911) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4252) |
| 101YP2500X Counselor, Professional (Licence: DC PRC14562) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2015-02-17 |