| NPI | 1538789722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC11545) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2023-10-27 |