| NPI | 1104559145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC23665) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC21222) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-09-25 |