| NPI | 1114165818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC17108) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 114726) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2018-03-26 |