| NPI | 1407398928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16385) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2021-10-15 |