| NPI | 1962070656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 5223) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 4751) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2026-06-08 |