| 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 |