| NPI | 1154955532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME LC22188) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME MC18538) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-03-30 |