| NPI | 1902180417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 085386) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC14407) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2022-11-10 |