| NPI | 1609062322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3419) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL3128) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2011-02-07 |