| NPI | 1316335607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7950) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3300) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2023-11-09 |