| NPI | 1073988010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17067) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15735) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2018-08-01 |