| NPI | 1215536289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC6825) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: ME xl4728) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2024-07-11 |