| NPI | 1447871413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 004204) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CT CO7201000549) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |