| NPI | 1942622550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 007734) |
| 101Y00000X Counselor (Licence: TN 4352) | |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2025-04-01 |