| NPI | 1003061201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME CAC7551) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LSX10764) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2021-06-09 |