| NPI | 1356115141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5735) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-16 |