| NPI | 1376708941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 113175) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC10129) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2022-08-22 |