| NPI | 1013073170 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3107)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN62386)  | 
| Enumeration Date | 2006-12-30 | 
| Last Update Date | 2015-01-22 |