| NPI | 1497779516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC2415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME MF1750) |
| 106H00000X Marriage & Family Therapist (Licence: CT 000341) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |