| NPI | 1619267010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1440) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2013-07-16 |