| NPI | 1639360233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME 08877) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 06467) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2024-04-11 |