NPI | 1750681318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME MC17488) |
Additional Taxonomies | 104100000X Social Worker (Licence: ME LSX12483) |
Enumeration Date | 2010-10-29 |
Last Update Date | 2025-05-15 |