| NPI | 1588111942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC18216) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC16236) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-08-27 |