| NPI | 1679880439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC15294) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 081903-1) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2022-03-22 |