| NPI | 1164843256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 472) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC8124) |
| 101YM0800X Counselor, Mental Health (Licence: NH 472) | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2023-02-08 |