| NPI | 1174994586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: ME XL4580) | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2019-06-24 |