| NPI | 1861970238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC24224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929045) |
| 1041C0700X Social Worker, Clinical (Licence: UT 11803310-3501) | |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2025-06-16 |