| NPI | 1366846354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC21756) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 092981-1) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2025-11-25 |