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 |