| NPI | 1841305182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC10111) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-09-27 |