| NPI | 1235760596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME LC7998) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CAC7164) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2022-07-19 |