| NPI | 1790286011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC17649) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME MC16438) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2023-06-23 |