| NPI | 1407818958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP171097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC8745) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2017-11-14 |