| NPI | 1912132671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12952) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC10851) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2012-03-23 |