| 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 |