| NPI | 1003005604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC2671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 590) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2024-01-12 |