| NPI | 1114231602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MH 6401007804) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2014-10-06 |