| NPI | 1366765174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 3544) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME 12360) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |