| NPI | 1932553567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2025-04-21 |