| NPI | 1417321555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3594) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 2050) |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2019-03-18 |