| NPI | 1497057145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12709) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2023-12-04 |