| NPI | 1639300635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC4327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME XL3431) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2023-09-19 |