| NPI | 1376789016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC3880) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME XL3409) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2012-04-12 |