| NPI | 1497851885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME #469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC469) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-10-20 |