| NPI | 1538406137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15362) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC13623) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2019-10-17 |