| NPI | 1356707459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5975) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4622) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2021-10-05 |