| NPI | 1255542783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 2443) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 1892) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-09-22 |