| NPI | 1316450083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5666) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4943) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2022-02-07 |