| NPI | 1346633252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC15297) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2021-09-02 |