| NPI | 1124468640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC14265) |
| 1041C0700X Social Worker, Clinical (Licence: ME MC15866) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2019-12-03 |