| NPI | 1881800209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19234) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7921077-3501) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-10-09 |