| NPI | 1659652907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924276) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC13237) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2017-02-15 |