| NPI | 1134420730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC13073) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2023-08-31 |