| NPI | 1831501097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 1548) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701005831) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2018-08-09 |