| NPI | 1669793477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF6612) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC7180) |
| 106H00000X Marriage & Family Therapist (Licence: NV MI0186) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2023-12-21 |