| NPI | 1891764544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-12846) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC7363) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-01-09 |