| NPI | 1639552961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5511) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4480) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-01-13 |