| NPI | 1992116479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17156) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME B49797) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2022-09-27 |