| NPI | 1962716381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: ME MC12661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1817) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2015-02-23 |