| NPI | 1811571920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19279) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC19276) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2025-08-19 |