| NPI | 1619427846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19001) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC16305) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-09-02 |