| NPI | 1164552121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5805) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC6602) |
| 101YP2500X Counselor, Professional (Licence: WV 2706) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-09-11 |