| NPI | 1407935992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC14599) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-09-18 |