| NPI | 1831236439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VT 068-0000554) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VT 000087) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |