| NPI | 1740480219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 1695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6590) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2009-10-14 |