| NPI | 1568452936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2550) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME xl4457) |
| 101YM0800X Counselor, Mental Health (Licence: ME cc4829) | |
| 225X00000X Occupational Therapist (Licence: ME OT491) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-10-20 |