| NPI | 1174090377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17961) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16621) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2023-01-25 |