| NPI | 1407302409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME LC17623) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC16177) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2020-04-16 |