| NPI | 1245573021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC4848) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME CAC6562) |
| 101YM0800X Counselor, Mental Health (Licence: ME XL4112) | |
| Enumeration Date | 2013-03-31 |
| Last Update Date | 2020-10-23 |