| NPI | 1881324234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23818) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME LM21223) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-08-13 |