| NPI | 1811270952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LSX12912) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2021-02-03 |