| NPI | 1477919561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17146) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15861) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2023-06-08 |