| NPI | 1497012330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC 4424) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC4424) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2017-12-27 |