| NPI | 1861831638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1902) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC13868) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2016-03-29 |