| NPI | 1174149793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21977) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18493) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-07-25 |