| NPI | 1588820252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC3045) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME 322846) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2022-03-16 |