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 |