NPI | 1497379028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16650) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18108) |
Enumeration Date | 2020-05-29 |
Last Update Date | 2023-01-06 |