NPI | 1053611426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13752) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12702) |
Enumeration Date | 2010-11-01 |
Last Update Date | 2022-02-09 |