| NPI | 1720289564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11709) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME OT146) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-03-06 |