| NPI | 1083267124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC17832) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2026-06-08 |