| NPI | 1669720009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2285) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC14950) |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW127487) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2024-12-27 |