| NPI | 1336313279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME 20672) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 13741) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-09-30 |