| NPI | 1225465354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC15734) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: ME MC14252) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2016-06-02 |