| NPI | 1972208742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC22442) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME LS14359) |
| 171M00000X Case Manager/Care Coordinator (Licence: ME LS14359) | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-01-05 |