| NPI | 1639907116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: ME MC22541) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC22541) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-29 |