| NPI | 1760146484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC18419) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME CAC7467) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |