| NPI | 1447487475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12793) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC11136) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2011-05-16 |