| NPI | 1316177793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13184) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12170) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2011-08-02 |