| NPI | 1841666088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17253) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15494) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2018-09-12 |