| NPI | 1700982196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC7448) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 29875) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-05-31 |