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 |