| NPI | 1992956338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004468) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 867) |
| 101YP2500X Counselor, Professional (Licence: TX 20026) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2012-07-23 |