| NPI | 1497103972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC6601) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 10536) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-04-18 |