| NPI | 1114023744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT LPC000560) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT LADC000053) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |