| NPI | 1306297619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC24441) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN 30254) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-07-22 |