| NPI | 1184261729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC6510) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4936) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2022-05-10 |