| NPI | 1033518857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16178) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC14866) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2017-01-03 |