| NPI | 1235487067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC19838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11003089-3501) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2021-06-21 |