| NPI | 1053784777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME 170313) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15584) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2018-09-18 |