| NPI | 1306273917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC15562) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC14224) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-06-13 |