| NPI | 1154915544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME XL5563) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LSX19099) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |