| NPI | 1063534881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC23599) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT2279) |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-06-07 |