| NPI | 1093149171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC14374) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2021-03-24 |