| NPI | 1891047783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 135) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 2594) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |