| NPI | 1417965666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME lc13280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7678) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2011-11-04 |