| NPI | 1457782187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4708) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4268) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2022-01-21 |