| NPI | 1043692817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 2461) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ME LC17835) |
| 1041C0700X Social Worker Clinical (Licence: VT 089.0135743) | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-02-15 |