| NPI | 1124196852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC2697) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME MF2698) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-09-27 |