| NPI | 1629472782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14577) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6057) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-09-06 |