NPI | 1467070243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 46.004442) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: RI 1460) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2023-01-29 |