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 |