| NPI | 1942646690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC17971) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA LCSW218627) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2023-09-27 |