| NPI | 1851685903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME CC5244) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 6353) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-01-21 |