| NPI | 1225543234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME LC7247) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CAC5728) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2021-02-02 |