| NPI | 1780797290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC9133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 926) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-05-01 |