| NPI | 1780832576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1539) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC14674) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2016-02-04 |