| NPI | 1154643369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4037) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL3484) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2022-07-21 |