| NPI | 1528641073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 4130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 4298) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |