| NPI | 1265076160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 006563) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC6919) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2025-03-12 |