| NPI | 1205563590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1142183) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 228287) |
| 1041C0700X Social Worker, Clinical (Licence: ME 25562) | |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2026-01-02 |