| NPI | 1437532322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL5313) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME OA3012) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2019-08-27 |