| NPI | 1699329821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME XL5296) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME XL5296) |
| 101YM0800X Counselor, Mental Health (Licence: ME XL5296) | |
| 102L00000X Psychoanalyst (Licence: ME XL5296) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-01-31 |