| NPI | 1124198270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC3486) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM LMHC - 0097841) |
| 104100000X Social Worker (Licence: ME LS3891) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-01-24 |