| NPI | 1316594617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20214) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18177) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2022-01-07 |