| NPI | 1083295596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23513) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC19482) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-05-09 |