| 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 |