| NPI | 1003427535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18922) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2023-01-18 |