| NPI | 1003862160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME CC3223) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL2717) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-01-29 |