| NPI | 1265584478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC3381) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-12392) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-09-14 |