| NPI | 1902423973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC22413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125891) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2023-06-19 |