| NPI | 1326140005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005415) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC6935) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-05-01 |