| NPI | 1205948767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC9692) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC9692) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-10-03 |