NPI | 1992053342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005255) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: VA PGP-0632298) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2012-08-16 |