| NPI | 1598046773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 1853) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 0901) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |