| NPI | 1609005990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2193) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 0387) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |