| NPI | 1215134606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC12940) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 8888) |
| 1041C0700X Social Worker, Clinical (Licence: CO 847) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-09-18 |