| NPI | 1093035412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC2952) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 4275) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |