| NPI | 1073272308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 6423) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701011069) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2024-01-06 |