| NPI | 1629133939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3262) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL2959) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2010-02-02 |