| 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 |