| NPI | 1972338945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC23980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 108036) |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-09-07 |