| NPI | 1265448880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC2298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 604) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-11-08 |