| NPI | 1275777419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 000121054) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC13137) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2018-06-05 |