| NPI | 1811657638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 46.004973) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 4973) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2023-10-06 |