| NPI | 1245934009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 5622) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC24049) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-10-03 |