| NPI | 1780776948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1508087) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003934) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-10-30 |