| NPI | 1174126155 |
|---|---|
| Former Name | PHOEBE S SHIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21549) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18948) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2023-05-02 |