| NPI | 1396400552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC23277) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2025-03-13 |