| NPI | 1982252672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21526) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18167) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-08-16 |