| NPI | 1700111499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME LS10580) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME LC4152) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |