| NPI | 1124205224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME CC3024) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 3015042) |
| 106H00000X Marriage & Family Therapist (Licence: MA 867) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-02-20 |