| NPI | 1265079669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 5075) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 4020) |
| 101YP2500X Counselor, Professional (Licence: CT 5075) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-12-20 |