| NPI | 1407189046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3345) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MA 251) |
| 106H00000X Marriage & Family Therapist (Licence: MA 170) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |