NPI | 1588891170 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13202) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12105) |
Enumeration Date | 2009-06-22 |
Last Update Date | 2011-08-29 |