| NPI | 1649056078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC24194) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 3054) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2025-03-17 |