| NPI | 1669732152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4878) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL3960) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2022-07-24 |