| NPI | 1235443664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC8504) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME DI884) |
| 101YM0800X Counselor, Mental Health (Licence: ME CC8504) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2025-12-17 |