| NPI | 1245855022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 004358) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2022-11-02 |