| NPI | 1255563813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5829) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: TN 5829) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2019-10-11 |