| NPI | 1326481680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC14024) |
| 101YS0200X Counselor, School (Licence: ME LC14024) | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-12-15 |