| NPI | 1699840801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC12682) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: TN 3080) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2022-05-11 |