| NPI | 1811263312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003272) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 44886) |
| 101YP2500X Counselor, Professional (Licence: VA 06155) | |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2013-03-25 |