| NPI | 1215328083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC4803) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME XL4400) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2017-05-22 |