| NPI | 1205048345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC13744) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME #MC10958) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-02-26 |