| NPI | 1811216658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW126393) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16318) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2025-04-04 |