| NPI | 1831434034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC4610) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS9160) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |