| NPI | 1922617760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME XL5512) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: ME RN35123) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |