| NPI | 1669922050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5332) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4789) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2021-01-26 |