| NPI | 1184995599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14618) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME MC13421) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2014-04-10 |