| NPI | 1437582061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923909) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC11739) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2018-04-17 |