| NPI | 1295248250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 46-002009) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CT 241420) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-07-26 |