| NPI | 1265983290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17206) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC16038) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2020-04-29 |