| NPI | 1912084047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2491) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2022041934) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-12-01 |