| NPI | 1033534557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4559) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 60185) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2022-07-21 |