| NPI | 1710050885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 13996) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-12-16 |