| NPI | 1982839924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC11172) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME LC4162) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2010-01-20 |