| NPI | 1861157372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC19706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC12104) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-08 |