| NPI | 1720158165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME 14022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA lcs23305) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-07-02 |