| NPI | 1447239009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME 3300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 144) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-11-10 |