| NPI | 1871862318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC15030) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC13384) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2015-08-04 |