| NPI | 1588677603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ME LC10159) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME LC10159) |
| 101YM0800X Counselor Mental Health (Licence: ME LC10159) | |
| 106H00000X Marriage & Family Therapist (Licence: ME LC10159) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-04-23 |