| NPI | 1104132380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC13644) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC12586) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2023-11-01 |