| NPI | 1700572674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23302) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC20505) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-04-09 |