| NPI | 1790918134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 3695) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 000404) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |