| NPI | 1912056615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003389) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC1262) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |