| NPI | 1548504111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC4948) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC4948) |
| 101Y00000X Counselor (Licence: ME XL4061) | |
| 101YM0800X Counselor, Mental Health (Licence: NH 2221) | |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01204) | |
| 101YM0800X Counselor, Mental Health (Licence: WI 20504-875) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2021-04-07 |