| NPI | 1134516875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC6754) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME LC3991) |
| 101Y00000X Counselor (Licence: ME CCS4690) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-06-17 |