| NPI | 1912711532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123085) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC2740) |
| 1041C0700X Social Worker, Clinical (Licence: FL 7725) | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |