| NPI | 1447521869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1621) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 116730) |
| 1041C0700X Social Worker Clinical (Licence: ME LC16485) | |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2022-07-21 |