| NPI | 1326342809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC3040) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC3040) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2015-06-25 |