| NPI | 1609532357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5906) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9755) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-05-20 |