| NPI | 1427613751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-37026) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: 83186) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |