| NPI | 1255874905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122511) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 0953371) |
| 1041C0700X Social Worker, Clinical (Licence: FL isw10491) | |
| 1041C0700X Social Worker, Clinical (Licence: ME MC15530) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-05-29 |