| NPI | 1023343878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME LC1893) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CCS3578) |
| 101Y00000X Counselor (Licence: ME CC1743) | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-14 |