| NPI | 1104889476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1706) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC8739) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2022-10-21 |