NPI | 1497057145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC13914) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC12709) |
Enumeration Date | 2010-12-01 |
Last Update Date | 2023-12-04 |