| NPI | 1568843183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2422) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 174H00000X Health Educator (Licence: CT 24089) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-08-21 |