| NPI | 1932477080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC13455) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LM13312) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-01-11 |