| NPI | 1427359561 |
|---|---|
| Former Name | MARY ELLEN RUETTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0014899) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60132886) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2017-04-06 |