| NPI | 1194862813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC10312) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC12182) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-11-28 |