| NPI | 1639237860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258271) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC6737) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-08-08 |