| NPI | 1699131714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC5205) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14507) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2026-01-14 |