| NPI | 1669580973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113923) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME 03085) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2013-12-11 |