| NPI | 1356649107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4455) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME XL3756) |
| 101YP2500X Counselor, Professional (Licence: ME XL3756) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2019-06-06 |