NPI | 1144602343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-06-24 |
Last Update Date | 2025-04-17 |