| NPI | 1710237854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2844) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC006954) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2013-08-29 |