| NPI | 1972710937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0551) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-06-29 |