| NPI | 1619120565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR 0302E) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR 03-02EI) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2021-04-26 |