| NPI | 1346732443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21484) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1802491) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-04-14 |