| NPI | 1992733208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701002860) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |