| NPI | 1023512779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC17091) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2022-12-05 |