| NPI | 1992052773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 120568) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC15400) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2023-08-08 |