NPI | 1952680597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14564) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC13212) |
104100000X Social Worker (Licence: ME MC13212) | |
Enumeration Date | 2011-08-14 |
Last Update Date | 2019-12-18 |