| NPI | 1376760694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3528) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL2989) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-06-10 |