| NPI | 1356825566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC19193) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC17536) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2020-11-17 |