| NPI | 1295766400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 0183) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 183) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-05-16 |