| NPI | 1053867044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16171) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2020-09-28 |