| NPI | 1154071629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME LC25199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC21109) |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2026-04-17 |