| NPI | 1225260243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF3740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R058522) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00002649) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2013-01-30 |