| NPI | 1770581407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC9407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1022921) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-04-05 |