| NPI | 1518487040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME Cc5728) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL482) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2021-06-03 |