| NPI | 1881159317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME LS1793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN39939) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2021-02-02 |