| NPI | 1083926679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC1137) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2016-05-24 |