| NPI | 1336672039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 6327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 2270) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-12-14 |