| 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 |