| NPI | 1770915183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21049) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18119) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2022-04-26 |