| NPI | 1811215841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC22546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 946) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2024-04-26 |