| NPI | 1922474733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005947) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4514) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |