| NPI | 1194123893 |
|---|---|
| Former Name | ROBIN LYNN OUELLETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20638) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LSX14552) |
| 104100000X Social Worker (Licence: ME MC15758) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2021-11-10 |