| NPI | 1902131766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME LSX8257) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CAC4012) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |