| NPI | 1740395516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC8876) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-02-18 |