| NPI | 1558697722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME CC3929) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LS9714) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2013-05-17 |