| NPI | 1972556959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002219) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3528) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-07-15 |