| NPI | 1043732274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-41012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14007990-3501) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC24363) | |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2025-07-21 |