| NPI | 1023492279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3463) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5265) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-03-14 |