| NPI | 1124619051 |
|---|---|
| Former Name | ANNA DUPONT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13410) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1211702) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-03-09 |