| NPI | 1144835604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18914) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-02-03 |