| NPI | 1417575697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC20779) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC18688) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-05-12 |