| NPI | 1477641488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC 1779) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-000222) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-11-29 |