| NPI | 1407977374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP131060) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME cc2710) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2014-03-21 |