| NPI | 1285228593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW022819) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC19757) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-04-16 |