| NPI | 1629735402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 7284) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 5284) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-10-22 |