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