| NPI | 1639207087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 2767) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 13358) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-03-23 |