| NPI | 1598030967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6981) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH11151) |
| Enumeration Date | 2012-03-18 |
| Last Update Date | 2018-12-05 |