| NPI | 1053908038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 46.005359) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CT C082020000582) |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2022-11-29 |