| NPI | 1043288038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME 16454) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC 453) |
| 106H00000X Marriage & Family Therapist (Licence: NC 373) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-06-17 |