| NPI | 1356619670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC14608) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME XL3882) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2014-04-22 |