| NPI | 1962786970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ME LC13032) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 119801) |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2021-02-21 |