| NPI | 1043506538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3785) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC3785) |
| 101YM0800X Counselor, Mental Health (Licence: ME CC3785) | |
| 103K00000X Behavior Analyst (Licence: ME CC3785) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-08-26 |