| NPI | 1437479250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000002903) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401009865) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2013-03-06 |