| NPI | 1982791943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC9978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009238) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-07-12 |