| NPI | 1710204136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2728) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3224) |
| Enumeration Date | 2010-04-25 |
| Last Update Date | 2013-03-18 |