| NPI | 1699088195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4311) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME XL3515) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2014-05-23 |