| NPI | 1376736579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12159) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LS8751) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-01-22 |