| NPI | 1053737544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC16159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117523) |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2020-08-06 |