| NPI | 1952584716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 079646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16315) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2021-04-28 |