| NPI | 1174160055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC20690) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI CSW02327) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2024-12-13 |