| NPI | 1154484244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC5812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117654) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-09-17 |