| NPI | 1316344849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012969) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC6775) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2024-03-21 |