| NPI | 1477719698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC10692) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2009-09-29 |