| NPI | 1578861522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006544) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7594) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2017-01-31 |