| NPI | 1114521242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME CAC6796) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME LSX17952) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-02-02 |