| NPI | 1396130043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME MC16097) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 086371) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-08-19 |