| NPI | 1811185093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004237) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0812000531) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-11-14 |