| NPI | 1003946757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC10708) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM L#1-07338) |
| 1041C0700X Social Worker Clinical (Licence: NM X-06829) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2021-09-16 |