| NPI | 1184272643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC17387) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2021-10-28 |