NPI | 1073158671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21907) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18112) |
Enumeration Date | 2019-11-07 |
Last Update Date | 2025-06-27 |