| NPI | 1720422769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3691) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 002343) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-11-17 |