| NPI | 1891346185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19294) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC17000) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-04-27 |