| NPI | 1396427118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 8758) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 46.006036-ASOC) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-08-18 |