| NPI | 1558739946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME LC15607) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC14246) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2020-09-24 |