| NPI | 1861760415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME XL3683) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME PC3245) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |