| NPI | 1609467802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 003702) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CT 7903092231) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-01-30 |