| NPI | 1346575107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14923) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC2411) |
| 101Y00000X Counselor (Licence: ME CCS3580) | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2017-05-19 |