| NPI | 1558103408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC7563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL6689) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-10-22 |