| NPI | 1790910735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ME MF3946) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME XM2969) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2023-06-08 |