| NPI | 1215981386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC24910) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM I4400) |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2025-08-13 |