| NPI | 1396084521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME XL3874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL3874) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2018-05-03 |