| NPI | 1487906186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15196) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 087405) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2021-09-01 |