| NPI | 1497233886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC22049) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC17353) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2023-04-26 |