| NPI | 1457420796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC0004374) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-12-14 |