| NPI | 1477919462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15965) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2020-01-21 |