| NPI | 1609838168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010901) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CC2621) |
| 104100000X Social Worker (Licence: ME CC2621) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-01-08 |