| NPI | 1629551767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF6572) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME CC5232) |
| 106H00000X Marriage & Family Therapist (Licence: CA 96718) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2022-03-03 |