| NPI | 1073681854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC10523) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-01-03 |