| NPI | 1235786260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20934) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18195) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-03-16 |