NPI | 1932154234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16304) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1023484) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2022-07-12 |