| NPI | 1730809120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC23999) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-01-08 |