| NPI | 1326151879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC10846) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME ME522216) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-07-11 |