| NPI | 1326149782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC6075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LC6075) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-11-21 |