| NPI | 1295222388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC18376) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904010458) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2019-11-07 |