| NPI | 1659615250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC15415) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC13810) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-09-22 |