| NPI | 1083893069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC11230) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC c007755) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2012-08-12 |