| NPI | 1336494715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18334) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8978) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2020-01-28 |