NPI | 1295820140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC10053) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME LC10053) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2009-05-11 |