| NPI | 1053080648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 7286) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 5944) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-05-06 |