| NPI | 1699748673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701003232) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003232) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2013-06-12 |