| NPI | 1073294484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 6743) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 6560) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-09-07 |