| NPI | 1578529517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC5087) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-07-15 |