| NPI | 1871005512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19079) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME MC16889) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2021-01-25 |