| NPI | 1770723157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 26485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC11841) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2017-12-06 |