NPI | 1043312192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME Lc7180) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC7180) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2011-04-27 |