| NPI | 1740445147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11640) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LC11640) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-11-26 |