| NPI | 1902318355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78558) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC21640) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2026-03-09 |