| NPI | 1851672745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC13277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16192) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW123499) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2024-06-17 |