| NPI | 1407166465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13865) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12755) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2022-09-13 |