| NPI | 1861773749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14510) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC13174) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2022-03-02 |