| NPI | 1275767642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2624) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006282) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2011-01-30 |