| NPI | 1912661687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23957) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: ME MC20406) | |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2025-04-08 |