| NPI | 1821347204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005958) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC4325) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2018-08-27 |