| NPI | 1174769368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002431) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC7674) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2024-09-08 |