| NPI | 1942537584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004628) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19194) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2014-10-07 |