| NPI | 1356981831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 004612) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101Y00000X Counselor (Licence: CT 4054) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2022-07-06 |