| NPI | 1639166275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN 1526) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 11419) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-07-08 |