| NPI | 1306211131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18896) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15850) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2020-07-07 |