| NPI | 1417960808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MA 84751-PC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 0020374-01) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |