| NPI | 1659825818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17329) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16160) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2018-10-19 |