| NPI | 1588072094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4740) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC4740) |
| 101YP2500X Counselor, Professional (Licence: IL 178.009507) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2024-03-23 |