| NPI | 1790993236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LM4291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RO31594) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |