| NPI | 1396113213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15564) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2020-02-13 |