| NPI | 1568195600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1120038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC24238) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2025-09-23 |