| NPI | 1194104117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ME LM15309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16897) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2019-12-05 |