| NPI | 1073927893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC21447) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-10-06 |