| NPI | 1043355340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 000057) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 310677) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-09-17 |