| NPI | 1962846915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MC13738) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2015-04-14 |