| NPI | 1124532304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5408) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: ME XL4967) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2024-03-17 |