| NPI | 1376058404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA AP00626C) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006206) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |