| NPI | 1689811846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3692) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH11175) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2022-04-18 |