| NPI | 1508126087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC6225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6475) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2024-07-25 |