| NPI | 1427423821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 12008-MH-CC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4587) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2020-10-28 |