| NPI | 1851695928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC23160) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2026-02-10 |