| NPI | 1942985817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ME LC23141) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW.09929269) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-04-16 |