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 |