| NPI | 1124168877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2331) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 61252) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-09-04 |