| NPI | 1639628282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17393) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC16104) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2021-08-25 |