| NPI | 1366273575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 14298) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC24333) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-08-18 |