NPI | 1457486888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16332) |
Additional Taxonomies | 104100000X Social Worker |
1041C0700X Social Worker, Clinical (Licence: NH 2920) | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2023-12-08 |