| NPI | 1689970436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 1975) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701004981) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2012-02-27 |