| NPI | 1710420211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16161) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2020-10-09 |