| NPI | 1568027399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC17450) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-05-08 |