| NPI | 1609341031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC17446) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2021-11-05 |