| NPI | 1942513247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 001947) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CT 1947) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2023-04-11 |