| NPI | 1265786883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC13840) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2022-04-21 |