| NPI | 1386795151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC11605) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 071012-1) |
| 104100000X Social Worker (Licence: ME LC11605) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-08-20 |