| 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 |