| NPI | 1053548628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 6180-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC13356) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2014-10-03 |