| NPI | 1558418319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC6123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 1025) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-10-31 |