| NPI | 1699822148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701003408) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: VA PPS-0601185) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |