| NPI | 1417205535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME mc13491) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2018-04-30 |