| NPI | 1255057691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC7953) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL6712) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-04-08 |