| NPI | 1629245667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 2585) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 3047) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2016-12-16 |