| NPI | 1649653767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16558) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC14821) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-04-03 |