| NPI | 1528275385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC6946) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME D198) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-09 |