| NPI | 1750961488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13537) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME MC18001) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2022-11-04 |