| NPI | 1528191376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3150) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH16996) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-11-12 |