| NPI | 1992885438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC11804) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC10522) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-03-14 |