| NPI | 1164513479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME LC7815) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC7815) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-09 |