| NPI | 1871898627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC4678) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME XL3719) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2020-12-07 |