| NPI | 1497464366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 6246) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 5312) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-01-09 |