| NPI | 1801025069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15017) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW5764) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2014-10-03 |