| NPI | 1376858142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4132) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME xl3681) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2014-01-21 |