| NPI | 1396100541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20128) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: ME CAC5208) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2023-03-22 |