| NPI | 1134292212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 0000000774) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 774) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-07-03 |