| NPI | 1841703303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701007018) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 3713) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |