| NPI | 1861803843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4776) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL4087) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2017-10-12 |