| NPI | 1740434984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME XL3458) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-04-14 |