| NPI | 1730692781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 000136) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: CT 000136) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |