| NPI | 1558801670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ME ps1502) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME ps1502) |
| 101YM0800X Counselor, Mental Health (Licence: ME ps1502) | |
| 101YP2500X Counselor, Professional (Licence: ME ps1502) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |