| NPI | 1386712156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC983) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: ME RO15491) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |