| NPI | 1255634200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME XL3540) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: ME 00110438) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |