| NPI | 1467754549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC23943) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC12861) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2025-05-16 |