| NPI | 1962715482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC3663) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC 62898) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH7173) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2435) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |