| NPI | 1356691141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14273) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115911) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2014-08-26 |