| NPI | 1477021228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC0000006638) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2024-05-28 |