| NPI | 1780119347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13881) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119317) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |