| NPI | 1659515518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14648) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC9348) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2020-02-07 |