| NPI | 1942604822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC18091) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC20950) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2023-10-30 |