| NPI | 1043406374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC3591) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME XL3301) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2011-06-27 |