| NPI | 1275645640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 032904-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME LC6618) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC6618) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-29 |