| NPI | 1922364991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225700000X Massage Therapist (Licence: ME MT1812) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-03-01 |