| NPI | 1952743064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME cc4854) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL3990) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2021-06-02 |