| NPI | 1659588515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 23180) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-09-03 |